| NPI | 1801971338 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: UT 7162897-7100) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: UT 7162897-1201) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2025-09-27 |